医院-社区-家庭三元联动模式对慢性心力衰竭患者健康行为和心功能的影响

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Abstract Objective To explore the effect of hospital-community-family integrated model on health behavior and cardiac function in patients with chronic heart failure (CHF). Methods From January to December 2019, 81 CHF patients hospitalized in the Department of Cardiovascular Medicine of the Second Affiliated Hospital of Guangxi Medical University were selected as the research objects. According to the random number table method, they were divided into control group (40 cases) and observation group (41 cases). The control group adopted the traditional health education mode, and the observation group adopted the hospital-community-family ternary linkage mode. Health behavior score, self-management efficacy score, dyspnea index (mMRC), 6-minute walking distance (6MWT), left ventricular ejection fraction (LVEF), and cardiac index (CI) were compared between the two groups before and after intervention. Results After intervention, 6MWT, LVEF, and CI of the two groups were higher than before intervention, while mMRC was lower than before intervention, and 6MWT, LVEF, and CI of the observation group were higher than the control group, while mMRC was lower than the control group, the differences were statistically significant (P ＜ 0.05); the total scores of self-actualization, nutrition and exercise in the control group were higher than those before the intervention, and the health behavior scores and total scores in the observation group were higher than those before the intervention, and the self-actualization, health responsibility, nutrition, exercise and total scores in the observation group were higher than those in the control group, and the differences were statistically significant (P ＜ 0.05); after intervention, drug management, psychological/social adjustment management, symptom management, and total score in the control group were higher than before intervention, while the score and total score in the observation group were higher than before intervention, and the score of drug management, diet management, symptom management, and total score in the observation group were higher than the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion The management of hospital-community-family ternary linkage model can effectively improve the health behavior of CHF patients, improve the efficiency of self-management and improve the cardiac function of patients, which is worthy of clinical application.

Key words： Heart failure Cardiac function Community health service Health behavior

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	WANG Xiaorong1 MA Cui1 LI Hong2 YU Qin3 LIANG Rong4▲

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WANG Xiaorong1 MA Cui1 LI Hong2 YU Qin3 LIANG Rong4▲. Effect of hospital-community-family integrated model on health behavior and cardiac function in patients with chronic heart failure[J]. 中国医药导报, 2022, 19(17): 180-184.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I17/180

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